| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1912046533 |
| License Number: | 17338 |
| License State: | AZ |
| Medical School: | Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Residency Training: | University Med Ctr, General Preventive Medicine; U Ok/Tulsa Med Col Afl Hsp, General Surgery |
| Graduation Year: | 1985 |
| Certifications: | Public Health & General Preventive Medic |